Whether you’re researching specific lifestyle wellness related tools or looking for more information for your unique lifestyle wellness needs, the Lifestyle Wellbeing Kit is where you should begin. Our kit was developed for you to help better understand the lifestyle change options that are available to you. This eliminates the costly “trial and error” process when wading through the sea of products and information. Our Lifestyle Wellbeing Kit is developed with the assistance of doctor’s, dietitians, diabetes educators and other health care professionals. Our Lifestyle Wellbeing Kit will consist of Coupons, Product Samples and Education information dealing with healthy living, prevention and disease management.

Order yours now for only $3.49! (The $3.49 charge covers the cost of Shipping and Handling.)

Sign-up now for Healthful Zone Newsletter and you will receive 50% off your first six month subscription of Lifestyle Wellness Portal Nutribasic™. You will also receive $5.00 off your next purchase from our online store which offers high quality products plus more.

Rest assured, we will not sell information or addresses to any outside sources. To receive your Coupons and Product Sample Kit please completely fill in the information below and then submit. Your kit will arrive within 3-4 weeks!

Upon completion of the form you will automatically be registered on our site and taken to our store to place your order for your Lifestyle Wellbeing Kit.

Contact Information

First Name*

Last Name*

Street*

Apt. #

City*

Province/State*

Postal/Zip Code*

Email Address*

Age*

A one-time handling charge of only $3.49 will be billed to your card. Your Lifestyle Wellness Kit will arrive within 4 weeks. You will receive your Nutribasic subscription code for 50% off and also $5.00 off your next purchase at www.nutribasic.com online store upon completion of Healthful Zone Newsletter sign-up.

Lifestyle Wellness & You...

1. What challenges are you currently experiencing? Check all that apply.*DiabetesConstipationLack of Exercise Heart ProblemsSleep Disturbance High Blood Pressure StressOver Weight Food AllergiesConcentration High Cholesterol Irregular Eating TimesObesity Mental Fatigue Other

Other (please specify)

2. Do you currently (or have you in the past) tried to manage your health?*YesNo

If yes: Have you sought help of a health care practitioner?*YesNo

3. Have you had a Dietitian or Nutritionist counselling within the past three months -or- are you planning to have a counselling in the next three months?*YesNo

4. Is there a wellness program offered at your place of work?*YesNo

5. Do you exercise regularly?*YesNo

6. Do you belong to a Fitness Club?*YesNo

Help Us Help Others...

Help Us Help Others...

How did you hear about the Healthful Zone Sample Kit?*TVMagazine OnlineRadioNewspaper Friend/Relative Mailing/PostcardDoctor's Office Other

Other (Please specify)

Due to mailing restrictions, these kits are only available in North America at the moment.

Would you like to receive other lifestyle wellness related materials and/or relevant coupons via email from Cyglera?*YesNo

Email Safe-List Instructions
Thank you for signing up for the Healthful Zone newsletter. To ensure that you receive our communications please add the following email address to your list of approved senders. newsletter@cyglera.com. If you no longer want to be on this mailing list, just click "unsubscribe" at the bottom of any email.